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The nurse that delivered my son noticed that his tongue was tied at the tip. So, in the hospital we started using a breast pump to keep up my milk supply, and a nipple shield to help with my baby's poor suck and disinterest in nursing. I didn't want to use any bottles, so we started using a syringe and a tube to try and get him to feed. It took a hour for him to take 1 oz this way in the hospital.